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Published on: April 7, 2015
[Septic arthritis caused by S. pneumoniae. Report of 2 cases with unusual location]
J M Ruiz Martín1, M Javaloyas de Morlius, M Admetlla Falgueras
1Servicio de Medicina Interna, Hospital de Viladecans, Barcelona.
Abstract:
Arthritis by S. pneumoniae, although no frequent, is a well-known disease in patients with underlying diseases and in which they complaint previous articular disease. In the present article 2 cases of location in shoulder and sacroiliac joints are described respectively in a woman with multiple myeloma and an esplenectomizaded man, associations nondescribed previously in literature. The importance of its suspicion in patients with factors of risk for sepsis by S. pneumoniae is emphasized.
Insights
Pneumococcal arthritis, though rare, can occur in patients with existing health conditions. This study highlights two novel cases in the shoulder and sacroiliac joints, emphasizing the need for vigilance in at-risk individuals.
Area of Science:
- Infectious Diseases
- Rheumatology
- Immunology
Background:
- Pneumococcal arthritis, an infection of the joint caused by Streptococcus pneumoniae, is uncommon but recognized.
- It typically affects individuals with pre-existing joint disease or compromised immune systems.
- Risk factors for Streptococcus pneumoniae sepsis increase susceptibility.
Observation:
- Two unique cases of pneumococcal arthritis are presented.
- One case involved the shoulder joint in a patient with multiple myeloma.
- The second case affected the sacroiliac joint in a patient who had undergone splenectomy.
Findings:
- These specific joint involvements (shoulder and sacroiliac) in the context of multiple myeloma and splenectomy represent previously undescribed associations in medical literature.
- The findings underscore the potential for Streptococcus pneumoniae to cause arthritis in diverse and previously unreported clinical scenarios.
Implications:
- The study emphasizes the critical importance of suspecting pneumococcal arthritis in patients presenting with risk factors for Streptococcus pneumoniae sepsis.
- Early diagnosis and treatment are crucial for managing this rare but serious condition.
- These cases expand the known spectrum of joint involvement in pneumococcal infections.
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